3718V181"
With proper validation
this form constitutes an
encroachment permit
CITY OF LA QUINTA
APPLICATION FOR PERMIT
H'
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE: tat 2, 2002
Subdivision Improvement Permit — Class II I
Minor Improvement Permit Class IV 7K�C
LOCATION OF CONSTRUCTION Ayeun* 52 Mtd Eie"ba"Ir Drye
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION Rensxir 12" xrttaar r%vft l.orsh Sketch (attach construction plans if ap
propriate)
ppropriate)
DESCRIPTION OF CONSTRUCTION W4 out 02d repair ua1n.
BackfM and cc=y"t road bane and fWah ulth
poma=ut 400hal t pavitc.
DIMENSION OF INSTALLATION O�RER€MOVAL
rM1. SIZE OF EXCAVATION, IF NEEDED
APPROXIM 1 ,1 E WHEN WORK WILL BEGIN.
APPROXIMATE.TIM.E OF COMPLETION 9/19/02
ESTIMATED CONSTRUCTION COST $
i �i`(Including removal of all obstruction, materials, and debris, backfilling, com
r;.�-,,,paction and placing permanent resurfacing and/or replacing improvements)
,In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, defend, and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property
happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started.
Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of
this work.
�r
Signature of Applicant or Agent .
Conchal a Valley Water District PO Boa 1058 Coachella, Ca 92236
Name of Applicant (please print) Business Address Telephone No.
CVUD- Eric J. ftbaa mall 485-2279 760.398.2651
Name of Contractor and Job Foreman Business Address Telephone No.
Contractor's License No.
City Business License No.
VA a&
Applicant's. Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class 111
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor. Improvement Permit — Class IV: See attached schedule
Inspection Fee $
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL: $ to
Receipt No.
Received by
Date
lu,q 3 ��
PERMIT VALIDATION
PERMIT NO. 3790
DATE APPROVED 2 A.Renamr, 2009
EXPIRATION DATE 2 duguot, 2003
DATE'ISSUED 2 Aumet, 2003
Victor now Ad in stfative Authority
Recorded by
Telephone: (760) 777-7075
With proper validation
this form constitutes an
encroaetment oermlt CITY OF
LA QUINTA
APPLICATION FOR. PERMIT
PUBLIC WORKS CONSTRUCTION: (ENCROACHMENT)
For the construction of public or private curbs, drive
�
and other like public wlots. sewers. water mains
orks improvements in connection with MINOR: IMPROVEMENTS a ding APPROV D SUBDIVISIONS
DATE:? - 21 -M
LOCATION OF CONSTRUCTION
-t
le.--
- - wmacrintion of Locat,oni
PURPOSE OF CONSTRUCTION
DESCQIPTION OF CONSTRUCTION — % ev
DIMENSION OF INSTALLATION OR REMOVALor-
1-t 4
SIZE OF EXCAVATION, IF NEEDED $e
APPROXIMATE TIME WHEN WORK WILL BEGIN - 2,067-
APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COST S
(Including removal of all obstruction, materials, and debris, backfillinLcom•
pacuon and placing permanent resurfacing and/or replacing improvaaemsl,
In consideration f
Subdivision Improvement Permit - Class III,
Minor Improvement Permit Class Iv
Sketch (attach construction plans if appropriate)
RECEIVED
JUL 31 W
PUBLIC WORKS
o the granting of this permit, the applicant hereby agrees to:
IndarnniN. delend and w• the
Penalties.
I City. nt authoruad •sane. officers. Ieorewrlauves end
liabilities or 104 r•tulline (rOm claiint Or court salon and amplOveet, hermi•o from end
hepo•mrp or occurnrie a • see'^/t erg, and all
P/Oeim•te result 01 an New OYt OI anv •«(dent, lop o1
NOlifv tf1• A Y work undertaken undw the dem•is p Persons o1 property .
dminittrative A permit strained ourw•nt to this •pOticJuon,
ulnoOr •t lea twentvdour 1211 hour a ad1•nee of the time when work will be started.
Cornoty with
a0 a00tica0l• City Ordmarlca. he term/ and condition. 01 the Oermit and tli
V for arty additional reP4gmant n ry
eC•W a the e00hubl• rules and reeutauom of the City of
Uuinta and to P•V /
realtlt Of this work.
Name of Applicant (please print)
C%„ _ e .
Name of Contractor and .Job Foreman
,egnaWro of Applicant or Agent
T�T// Po
Busirlfaa Address
• 1 Telephone No.
Busirtm Address
Contractor's License No.
Y8s-ZZ7q 760 39g-411'i
Telephone No.
Cl Business License No.
Avpllcant's Insurance Company GEN. LIA
f51uTy
' Policy Number
FEES: Subdivision Improvement Permit -Class,,,
Public improvements:
396 of estimated construction costs
Private Improvements: 396 of estimated construction costs
Minor Improvement Permit - Class IV: See attached schedule
Inspection Fee s
Permit Fee PERMIT VALIDATION
Penalty PERMIT NO.
Cash Deoosit•Surety Bond
if required DATE APPROVED
TOTAL: S EXPIRATION DATE
Recetot No. DATE ISSUED
Receives by
Date By
Aamimstrative
:nr 3 I
_' } ,�,-r A,ED
Sladden Engineering `
6782 Stanton Ave., Suite A, Buena Park, CA 90621 (714) 523-0952 Fax (714) 523-1369
39-725 Garand Ln., Suite G, Palm Desert, CA 92211 (760) 772-3893 Fax (760) 772-3895
Date 1- ZZ -
Job No. tZt - 12 7:'
FIELD MEMO
Project Name Client:
Site Address
Job Phone
.Work Done °
Test Summary / Footings Inspected
Test
i
Location
Elev.
Dry.
Moist
% Relative
Ref. Max
Moist
No
i F
I _t
Density,
%
Compaction
, pcf
%
1Z1.
G
Comments
1
1•
Field Tech.,-' Super. or Agent
s _ -
24 hour notice requested to schedule Field Technician. Thank you for the opportunity to, be of service.
:5
-A
Sladden Engineering
6782 Stanton Ave., Suite A, Buena Park, CA 90621 (714) 523-0952 Fax (714).523-1369
39-725 Garand Ln., Suite G, Palm Desert, CA 92211 (760) 772-3893 Fax (760) 772-3895
Date lC, 1
'Job No.
FIELD MEMO
MA
Project Name fit Client:
Site Address
Job Phone
Work Done
Test Summary Footings Inspected
Test
No.
LocationA
Elev.
Dry
Density
Moist
%
%Relative
Compaction
Ref. Max
pcf
Moist
%
i n
I -5'K 6
9. -7
1-12
I f V
Si.
-u
-4
Comments
Field TeT §up;r."r Agent
24 hour notice requested to schedule Field Technician Thank you for the opportunit y. to be of service..
i� P • � , �
*Sladden Engineering
6782 Stanton Ave., Suite A, Buena Park, CA 90621
39-725 Garand Ln., Suite G, Palm Desert, CA 92211
• R
(714) 523-0952 Fax (714) 523-1369
(7.60) 772-3893 _ Fax (760) 772-3895
• FIELD MEMO
Date 1012-3/i�:Z,-
Job No. 52-2 12744
t
Project Name.rffr i:t.a t Client:,.'-v : _,;' • --
� • 1.
Site Address % _ -
# to
Job Phone
Work Done k [1��
Test Summary / Footings Inspected
Test
No.
Location
Elev. -
Dry
Density
Moist
%
% Relative
Compacton
Ref. Max
pcf
Moist
Comments
N
' Field Tech.
L'
Super. or Agent
24 hour notice requested to schedule Field Technician. Thank you for the opportunity to be of service.
NOTE:
With proper validation
this form constitutes an CITY OF LA QUINTA
encroachment permit
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
DATE
Subdivision Improvement Permit — Class I I I
Minor Improvement Permit Class IV
LOCATION OF CONSTRUCTION Alr*% r $0 913er&~ lrivo
Antos: 2, ZW2
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION 10"IE 1261 =AkIt=Y' 9410 iaak
DESCRIPTION OF CONSTRUCTION »xx out: *no "PA1111' 111112""
xial 111 arA cmp"t road bast sod ttnjoh nitb
potm R isc #1 P"Lv PAMi1"*
DIMENSION OF INSTALLATIONO�R�REMOVAL
SIZE OF EXCAVATION, IF NEEDED
APPROXIM yE;�TME WHEN WORK WILL BEGIN
APPROXIMATE TIME OF COMPLETION Yil? uz
ESTIMATED CONSTRUCTION COST $
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
Sketch (attach construction plans if appropriate)
In consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property
happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started.
Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of this work.
Signature of Applicant or Agent
Name of Applicant (please print) Business Address Telephone No.
Cam- tic J. fjtlwm Call. 463-2219 7it3.)!$.2i31
Name of Contractor and Job Foreman Business Address Telephone No.
Con`tractor's License No. City Business License No.
UI► NA
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class 111
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor_ Improvement Permit — Class IV: See attached schedule
Inspection Fee
Permit Fee
Penalty
Cash Deposit -Surety Bond
if required
TOTAL:
$ so In
Receipt No.
Received by Date
PERMIT VALIDATION
3729
PERMIT NO.
DATE APPROVED 2 Est' 2002
.0 t s 'twl
EXPIRATION DATE
DATE ISSUED
2 fix. 2003
y',xC DPI' t Adrni'61iitrative Authority
4 ----
Recorded by 11 Telephone: (760) 777-7075
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